Ethnicity
*
Check all that apply.
I choose not to self-identify at this time.
Hispanic/Latino
Non-Hispanic/Latino
White
Asian
American Indian/Alaskan
Black or African American
Native Hawaiian/Other Pacific Islander
Non-Hispanic/Latino - Two or More Races
Gender
*
Not Specified
Male
Female
If necessary, are you willing to relocate?
*
Yes
No
Are you able to travel if the job requires it?
*
Yes
No
Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Number of years at this address
*
Phone
*
(###)
###
####
Email Address
Position
*
How were you referred to TSI Disaster Recovery?
*
Please check all that apply.
Craigslist
Website
Newspaper
State Employment Agency
TSI Employee
Other
Have you previously worked for TSI Disaster Recovery?
Yes
No
Are you 18 years of age or older?
*
Yes
No
Are you willing to work any shift, including early morning, nights, and weekends?
Yes
No
If No, please state any limitations
If applicable, are you available to work overtime?
*
Yes
No
When is your available start date?
MM
DD
YYYY
Are you authorized to work in the United States?
*
Please note that if you are hired you will be required to furnish proof and eligibility to work in the United States.
Yes
No
Are you able to perform the essential functions of the job position with or without reasonable accommodation?
Yes
No
What reasonable accommodation, if any, would you require?
Have you ever been convicted under your current name of any other name of a felony or misdemeanor of a violent or dishonest nature OR which resulted in imprisonment?
Yes
No
If yes, please describe in detail:
The existence of a criminal record does not constitute an automatic bar to employment unless relevant to the type of employment.
You have EXCEPTIONAL ability with:
*
BASIC COMPUTER SKILLS (word processing, email, web browsing)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
MICROSOFT OFFICE SOFTWARE (Word/Excel)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
AutoCAD
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
BIDDING/ESTIMATING SOFTWARE
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
MOBILE iOS DEVICE (iPhone, iPad, etc.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
CUSTOMER SERVICE/PUBLIC RELATIONS
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
HEAVY MACHINERY OPERATION (Skid Steer/Loader/Excavator)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
MARINE EQUIPMENT OPERATION (Boats, Tug Boats, SCUBA, Barges)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
HAND/POWER TOOL OPERATION (Chainsaws, Drills, Jackhammer, etc.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
CDL/TRUCK DRIVING (Dumps, Tractor Trailers, etc.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
SWIMMING
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
PHYSICAL/MANUAL LABOR
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Most Recent Employer Name
*
Most Recent Supervisor Name
*
First Name
Last Name
Employer Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Job Duties
*
Reason for Leaving
*
Employer Name
Supervisor Name
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Job Duties
Reason for leaving?
Employer Name
Supervisor Name
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Job Duties
Reason for leaving?
Please check your highest education received
*
Some high school
High School Diploma
Some College
College Degree
Graduate Degree
Certifications, Licenses, Awards, Honors, Special Achievements
Certification examples: machinery operation, welding, safety, OSHA, etc.,
Licenses examples: CDL, captain, pilot, etc.
Military Service
*
Yes
No
If yes, Branch & Specialized Training
Name
*
First Name
Last Name
Phone
*
(###)
###
####
Email
*
Relationship
*
Name
*
First Name
Last Name
Phone
*
(###)
###
####
Email
Relationship
*
Name
Phone
(###)
###
####
Email
Relationship
Please provide any other information about yourself that you believe should be considered:
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. I authorize TSI Disaster Recovery to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of TSI Disaster Recovery, except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship. I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.
*
Yes
No
I give my consent for a criminal background check
*
Yes
No
Are you willing to take pre-employment and random drug tests?
*
Yes
No
Date
*
Please put in today's date.
MM
DD
YYYY